GERD 80

Question 1

Gold standard investigation of GERD

Answer 1

Ambulatory 24 h PH studies

Question 2

Grade of Reflux esophagitis if there is One (or more) mucosal break, no longer than 5 mm,
that does not extend between the tops of two
mucosal folds

Answer 2

Grade A

Question 3

Grade of Reflux esophagitis if there is One (or more) mucosal break, more than
5 mm long, that does not extend between
the tops of two mucosal folds.

Answer 3

Grade B

Question 4

Grade of Reflux esophagitis if there is One (or more) mucosal break that is continuous between
the tops of two or more mucosal folds, but which involves
less than 75% of the circumference.

Answer 4

Grade C

Question 5

Grade of Reflux esophagitis if there is One (or more) mucosal break that involves at least
75% of the esophageal circumference

Answer 5

Grade D

Question 6

Which treatment approach is superior in terms of efficacy in management of GERD
* step up approach
*step down approach (start by PPI)

Answer 6

Step down approach is better